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Francesco Alamanni
Giulio Pompilio
Andrea Sala
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Ann Thorac Surg 1995;59:1231-1233
© 1995 The Society of Thoracic Surgeons

Articles

"Thinning-Down Phenomenon" and vasomotor adaptability of the inferior epigastric artery graft

MD Paolo Rona, MD Antonio L. Bartorelli*, MD Paolo Ravagnani, MD Francesco Alamanni, MD Giulio Pompilio, MD Andrea Sala

Istituto di Cardiologia dell'Università degli Studi, Centro di Studio per le Ricerche Cardiovascolari del Consiglio Nazionale delle Ricerche, Fondazione "Monzino," IRCCS, Milan, Italy

Accepted for publication October 14, 1994.

* Address reprint requests to Dr Bartorelli, Istituto di Cardiologia, Fondazione "Monzino," Via Parea, 4, 20138 Milan, Italy.

We report a case of diffuse thinning of an inferior epigastric artery early after its implantation as a coronary free graft. This phenomenon showed reversibility at the 20-month angiographic follow-up in response to progression of the proximal lesion in the recipient coronary artery. Graft vasodilation in response to atrial pacing and nitroglycerin infusion at late angiography confirmed the vasomotor adaptability of this arterial conduit.






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Copyright © 1995 by The Society of Thoracic Surgeons.